Active NPI
Catherine Kulik, RD
- Registered Dietitian
- Saint John, IN
National Provider Identifier
1114395787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.006559
- Practice address
- 9224 Calumet Ave
Saint John, IN 46373-9194 - Phone
- (219) 384-5015
- NPI assigned
- Sep 12, 2015
- Last updated
- Sep 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.006559 | IL | Primary |
Addresses
Primary practice location
9224 Calumet Ave
Saint John, IN 46373-9194
Mailing address
9224 Calumet Ave
Saint John, IN 46373-9194
Phone (219) 384-5015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006559 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442016000000",
"number": "1114395787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9224 CALUMET AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739194",
"telephone_number": "219-384-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9224 CALUMET AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739194",
"telephone_number": "219-384-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULIK",
"first_name": "CATHERINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-12",
"last_updated": "2015-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.006559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.